Organization Active NPI

Tahoe Youth & Family Services

  • Community/Behavioral Health Agency
  • South Lake Tahoe, CA
National Provider Identifier
1265625636
Registry record updated Aug 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
TAHOE YOUTH & FAMILY SERVICES
Practice address
1021 Fremont Ave
South Lake Tahoe, CA 96150-8136
Phone
(530) 541-2445
NPI assigned
Aug 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Alissa Nourse
Title
Executive Director
Phone
(530) 541-2445

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1021 Fremont Ave
South Lake Tahoe, CA 96150-8136

Mailing address

1021 Fremont Ave
South Lake Tahoe, CA 96150-8136
Phone (530) 541-2445

National Provider Directory

National Provider Directory

Locations

1021 Fremont Ave
South Lake Tahoe, CA 96150
Phone (530) 541-2445

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1187568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187568000000",
    "number": "1265625636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 FREMONT AVE",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961508136",
            "telephone_number": "530-541-2445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 FREMONT AVE",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961508136",
            "telephone_number": "530-541-2445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAHOE YOUTH & FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-20",
        "last_updated": "2007-08-20",
        "status": "A",
        "authorized_official_last_name": "NOURSE",
        "authorized_official_first_name": "ALISSA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "530-541-2445",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Lake Tahoe, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.